Active NPI
Craig F Sicinski, RPH
- Pharmacist
- West Melbourne, FL
National Provider Identifier
1104264092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS34359
- Practice address
- 1614 Sumter LN
West Melbourne, FL 32904-8741 - Phone
- (321) 604-1837
- Fax
- (321) 768-8084
- NPI assigned
- Jun 12, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS34359 | FL | Primary |
Addresses
Primary practice location
1614 Sumter LN
West Melbourne, FL 32904-8741
Mailing address
1614 Sumter LN
West Melbourne, FL 32904-8741
Phone (321) 604-1837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS34359 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Pharmacy Inc | Current | Accepting new patients | |
| Orlando Wellness | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Orlando, FL
- NPI 1124114210
-
- Long Term Care Pharmacy
- Orlando, FL
- NPI 1427699610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1104264092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1614 SUMTER LN",
"city": "WEST MELBOURNE",
"state": "FL",
"postal_code": "329048741",
"telephone_number": "321-604-1837",
"fax_number": "321-768-8084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1614 SUMTER LN",
"city": "WEST MELBOURNE",
"state": "FL",
"postal_code": "329048741",
"telephone_number": "321-604-1837",
"fax_number": "321-768-8084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICINSKI",
"first_name": "CRAIG",
"middle_name": "F",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-12",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS34359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.